Effects of physiotheraphy in individuals with shoulder impingement syndrome

Problem of research - Shoulder pain due to musculoskeletal disorders is the second most common in orthopedic practice (Creech & Silver, 2020). A number of physiotherapy methods are used to reduce shoulder pain and improve function in the presence of shoulder impingement syndrome, but one of the most effective methods has not been found these days (Watts et al., 2017; Creech & Silver, 2020). The aim of this study was to determine the effect of different physiotherapy methods on shoulder pain and function in the presence of shoulder impingement syndrome. Research tasks: 1. To evaluate and compare pain intensity before and after conventional physiotherapy and physiotherapy with shoulder joint mobilization with movement. 2. Evaluate and compare movement amplitudes before and after conventional physiotherapy and physiotherapy with shoulder joint mobilization with movement. 3. Evaluate and compare shoulder muscle strength before and after conventional physiotherapy and physiotherapy with shoulder joint mobilization with movement. 4. Evaluate and compare subjectively perceived shoulder function, and quality of life before and after conventional physiotherapy and physiotherapy with movement of the shoulder joint with movement. Methods: The 16 subjects (9 women and 7 men) diagnosed with shoulder impingement syndrome were divided into two groups: physiotherapy with mobilization with movement (KINMJ) and routine physiotherapy (KIN). Subjects were evaluated before the study, after 2, and after 4 weeks. Amplitudes of arm movements were assessed with a standard goniometer, muscle strength with a digital dynamometer, pain with a visual analog pain scale (VAS), shoulder function was assessed with the Hand, Shoulder and Hand Disability Questionnaire (DASH), and health-related quality of life was assessed with the SF-36 questionnaire. , Hypothesis of research: that conventional physiotherapy with mobilization with movement will reduce pain and improve shoulder function more than conventional physiotherapy. Results: KINMJ and KIN groups, pain decreased after 2 and 4 weeks (p <0.05). Comparing the two groups after 4 weeks, a greater reduction in pain was observed in the KINMJ group (p <0.05). The amplitudes of the arm range of motion in the KINMJ and KIN groups increased statistically significantly after 2 and 4 weeks (p <0.05), but in the comparison of both groups the amplitudes of the arm movements increased more in the KINMJ group. Shoulder muscle strength increased after 2 and 4 weeks in the KINMJ and KIN groups (p <0.05). Shoulder function and quality of life improved in both groups (p <0.05), and comparing the results of shoulder function, and quality of life in both groups showed that shoulder function and quality of life improved more statistically significantly in the KINMJ group (p